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内镜黏膜下剥离术治疗结肠巨大侧向发育型肿瘤的疗效分析

, PP. 2492-2495

Keywords: 结肠侧向发育型肿瘤,内镜黏膜下剥离术

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Abstract:

目的探讨内镜黏膜下剥离术(endoscopicsubmucosaldissection,ESD)治疗结肠巨大侧向发育型肿瘤(lateralyspreadingtumor,LST)的可行性及安全性。方法对于28例直径大于5cm的LST行ESD治疗,对其临床资料进行回顾性研究,归纳分析其治愈性情况、病理特征及并发症发生情况。结果28例病变均为颗粒型(LST-G),其中颗粒均Ⅰ型7例,结节混合型21例,病变直径约(6.88±2.10)cm,最大病变直径约12cm,其中环周病变为4例,手术操作时间为25~380min,中位时间为72.5min,病变整块切除率为92.2%(26/28);治愈性切除率为89.3%(25/28);穿孔发生率为10.7%(3/28);迟发性出血发生率为10.7%(3/28),术后狭窄发生率为10.7%(3/28),术后随访3~29个月未见局部复发。结论未侵犯黏膜下层的LST行内镜黏膜下剥离术是可行的,但其手术难度较大,因此必须要经验丰富的内镜医师在完善的内镜设备情况下进行具有较高的安全性及较好的疗效,值得临床推广应用。

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